[Federal Register Volume 83, Number 79 (Tuesday, April 24, 2018)]
[Notices]
[Pages 17872-17873]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-08462]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2018-0015]


Agency Information Collection Activities: Proposed Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes revisions of OMB-approved information collections.
    SSA is soliciting comments on the accuracy of the agency's burden 
estimate; the need for the information; its practical utility; ways to 
enhance its quality, utility, and clarity; and ways to minimize burden 
on respondents, including the use of automated collection techniques or 
other forms of information technology. Mail, email, or fax your 
comments and recommendations on the information collection(s) to the 
OMB Desk Officer and SSA Reports Clearance Officer at the following 
addresses or fax numbers.

(OMB), Office of Management and Budget, Attn: Desk Officer for SSA, 
Fax: 202-395-6974, Email address: [email protected]
(SSA), Social Security Administration, OLCA, Attn: Reports Clearance 
Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD 
21235, Fax: 410-966-2830, Email address: [email protected]
Or you may submit your comments online through www.regulations.gov, 
referencing Docket ID Number [SSA-2018-0015].

    The information collections below are pending at SSA. SSA will 
submit them to OMB within 60 days from the date of this notice. To be 
sure we consider your comments, we must receive them no later than June 
25, 2018. Individuals can obtain copies of the collection instruments 
by writing to the above email address.
    1. Claimant's Medication--20 CFR 404.1512 & 416.912--0960-0289. In 
cases where claimants request a hearing after denial of their 
disability claim for Social Security, SSA uses Form HA-4632 to request 
information from the claimant regarding the medications they use. This 
information helps the administrative law judge overseeing the case to 
fully investigate: (1) The claimant's medical treatment, and (2) the 
effects of the medications on the claimant's medical impairments and 
functional capacity. The respondents are applicants (or their 
representatives) for Old Age, Survivors, and Disability Insurance 
benefits or SSI payments who request a hearing to contest an agency 
denial of their claim.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
HA-4632 (paper).................................          20,000               1              15           5,000
Electronic Records Express......................         180,000               1              15          45,000
                                                 ---------------------------------------------------------------
    Total.......................................         200,000  ..............  ..............          50,000
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    2. Disability Report--Adult--20 CFR 404.1512 & 416.912--0960-0579. 
State Disability Determination Services (DDS) use the SSA-3368 and its 
electronic versions to determine if adult disability applicants' 
impairments are severe and, if so, how the impairments affect the 
applicants' ability to work. This determination dictates whether the 
DDSs and SSA will find the applicant disabled and entitled to SSI 
payments. The respondents are applicants for Title II disability 
benefits or Title XVI SSI payments.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    annual burden
                                                    respondents      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3368 (Paper form)...........................           7,571               1              90          11,357
Electronic Disability Collection System (EDCS)..       2,484,231               1              90       3,726,347
i3368 (Internet)................................       1,060,360               1              90       1,590,540
                                                 ---------------------------------------------------------------
    Totals......................................       3,552,162  ..............  ..............       5,328,244
----------------------------------------------------------------------------------------------------------------

    3. Representative Payee Report-Special Veterans Benefits--20 CFR 
408.665--0960-0621. Title VIII of the Act allows for payment of monthly 
Social Security benefits to qualified World War II veterans residing 
outside the United States. An SSA-appointed representative payee may 
receive and manage the monthly payment for the beneficiary's use and 
benefit. SSA uses the information on Form SSA-2001-F6 to determine 
whether the representative payee used the certified payments properly, 
and continues to demonstrate strong concern for the beneficiary's best

[[Page 17873]]

interests. Representative payees who receive SVB on behalf of 
beneficiaries residing outside the United States must complete the SSA-
2001-F6 annually. We also require these representative payees to 
complete the form any time we have reason to believe they could be 
misusing the benefit payments. The respondents are individuals or 
organizations serving as representative payees who receive SVB on 
behalf of beneficiaries living outside the United States.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-2001-F6.................................              16                1               20                5
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    4. Data Exchange Request Form--20 CFR 401.100--0960-0802. SSA 
maintains approximately 3,000 data exchange agreements and regularly 
receives new requests from Federal, State, local, and foreign 
governments, as well as private organizations, to share data 
electronically. SSA engages in various forms of data exchanges from 
Social Security number verifications to computer matches for benefit 
eligibility, depending on the requestor's business needs. Section 1106 
of the Social Security Act requires we consider the requestor's legal 
authority to receive the data, our disclosure policies, systems' 
feasibility, systems' security, and costs before entering into a data 
exchange agreement. We use Form SSA-157, Data Exchange Request Form, 
for this purpose. Requesting agencies, governments, or private 
organizations use the SSA-157 when voluntarily initiating a request for 
data exchange from SSA. Respondents are Federal, State, local, and 
foreign governments, as well as private organizations seeking to share 
data electronically with SSA.
    Type of Request: Revision of an OMB approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
State, local, and tribal governments............              99               1              30              50
Private sector organizations....................              22               1              30              11
                                                 ---------------------------------------------------------------
    Totals......................................             121  ..............  ..............              61
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    Dated: April 19, 2018.
Faye Lipsky,
Director of Regulations and Reports Clearance, Social Security 
Administration.
[FR Doc. 2018-08462 Filed 4-23-18; 8:45 am]
BILLING CODE 4191-02-P